Registration Form

Health Symposium with Lunch
Thursday, October 16, 2008
8:00 a.m. - 2:00 p.m.
Registration 8:00 a.m.
Program 9:00 a.m. - 2:00 p.m.
Charlotte Convention Center

Tables of 10: $650
Tickets: $45 per person

Call The Main Event to Reserve Tickets 704-332-5819 or submit the form below.

Please provide the following contact information:

Contact Name

Organization

Address

City

State

Zip Code

Phone

Fax

E-mail

I will pay by:

Individual tickets at $45 per person. How many tickets are you purchasing?

Table of 10 at $650 (per table). How many tables are you purchasing?

I also wish to give an additional gift of



After you click submit, you will be taken to a payment page to make your secure online payment.

If you are mailing a check, please fill out this form, print it and mail it with your check to: 
CACHE
P.O. BOX 31573
CHARLOTTE, N.C. 28231-1573

If you would like more information on becoming a sponsor for this event:
Phone 704-332-5819

 


Carolinas Association for Community Health Equity, Inc.
PO Box 31573, Charlotte, NC 28231-1573
704.405.5600 Phone | 704.405.5601 Fax
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